Healthcare Provider Details
I. General information
NPI: 1225178437
Provider Name (Legal Business Name): ABILITIES INC OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2007
Last Update Date: 09/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2735 WHITNEY RD
CLEARWATER FL
33760-1610
US
IV. Provider business mailing address
2735 WHITNEY RD
CLEARWATER FL
33760-1610
US
V. Phone/Fax
- Phone: 727-538-7370
- Fax: 727-538-7387
- Phone: 727-538-7370
- Fax: 727-538-7387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
J
HIGGINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 727-538-7370